| Golden Valley Health Center | |
|
821 Texas Ave Los Banos CA 93635-3453 | |
| (209) 826-1045 | |
| (209) 826-0952 |
| Full Name | Golden Valley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 Texas Ave, Los Banos, California |
| Authorized Official Name and Position | Tony Weber (CEO) |
| Authorized Official Contact | 2093846493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Valley Health Center 737 W Childs Ave Merced CA 95341-6805 Ph: (209) 384-6493 | Golden Valley Health Center 821 Texas Ave Los Banos CA 93635-3453 Ph: (209) 826-1045 |
| NPI Number | 1730163734 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 4183527187 |
|---|---|
| Medicare Enrollment ID | O20100811000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730163734 | NPI | - | NPPES |
| 040000215 | Other | CA | STATE OF CA LIC# |
| CMM03901F | Medicaid | CA | |
| GR0086288 | Medicaid | CA | |
| ZZZ83386Z | Other | CA | BLUE SHIELD OF CA GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 040000215 (California) | Primary |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Memorial Hospital Los Banos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Apex Annex Health Center,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 West I Street, Suite A, Los Banos, CA 93635 Phone: 209-827-9999 Fax: 209-827-0011 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Los Banos Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 5th St, Los Banos, CA 93635 Phone: 209-827-4747 | |
County Of Merced Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 F St, Los Banos, CA 93635 Phone: 209-826-1340 | |
Padres Medical Imaging,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 W I St, Los Banos, CA 93635 Phone: 209-826-6444 Fax: 209-826-6464 |